Individual
MRS. KAREN MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCADC
Contact information
Practice address
7651 GATE PKWY APT 104, JACKSONVILLE, FL 32256-2897
(502) 420-8453
Mailing address
7651 GATE PKWY APT 104, JACKSONVILLE, FL 32256-2897
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168632
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168632
KY BOARD ALCOHOL AND DRUG COUNSELORS
KY
05
—
1881350957
—
KY
Enumeration date
11/12/2021
Last updated
11/29/2021
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